Bronchiolitis problem causing cough - Online Doctor Chats

User : My 3-year-old daughter has been to the doctor twice this week because of a recurring cough. Last Monday she had a low grade fever of 99.1. On Tuesday I took her to the doctor, and she stated that she might have a little cold, but might be getting complicated to the point of getting asthma. Then on Wednesday she went to school for 1/2 day because she started complaining of abdominal pain right after she ate. I took her to the same doctor, and she stated that she has the symptoms of bronchiolitis, which also include stomach cramps. Last night she got a fever of 100.00, and this morning she started again with a low grade fever of 99.3. Is this still part of that virus that the doctor mentioned? Should I wait to see if the virus goes away, or should I take her to another doctor?
Doctor : Hi
User : Hello
Doctor : let me read your query
Doctor : please give me a few minutes
User : ok
Doctor : you need to wait for atleast 1 week before all the symptoms subside
User : It has been a week already. The first time I took her for the cough was last Wednesday
Doctor : ok
User : But the cough started about a month ago
User : My worry is the stomach cramps that she gets
Doctor : has the condition improved since then or it worsened ?
User : It did get worse because, even though she was under the nebulizer treatments, she started wheezing
User : When I took her back to the doctor this Tuesday, she was wheezing all over
Doctor : may i know all the medications she is on ? Has any antibiotics been given ?
User : Well, let me give you her whole history this month
User : She started with a stomach virus on February 4, then was hospitalized on Feb. 6 due to dehydration
User : She was put on antibiotics at this time because she had a throat infection
Doctor : OK
User : She was released on Feb. 8 from the hospital, and no more antibiotics were prescribed
Doctor : how many days of antibiotics were given?
User : About 4 days, because I had taken her to the doctor on Saturday, and he started her with antibiotics since then
User : By this time she already had the cough
User : But it started getting worse, even with cough medication
User : It got to the point where she could not sleep at night
Doctor : has she been given any inhalers ?
User : Only nebulizer treatments
Doctor : what about at home ? any nebulisation given at home ?
User : Yes, since last Wednesday, xophenex for 4 times a day, and pulmicort 1 at night
Doctor : Small kids, usually have increased predisposition for respiratory infections
Doctor : and this presents in the form of bronchiolitis
Doctor : and since they cannot bring out sputum as adults, the infection can become prolonged
Doctor : based on her history, she may need a prolonged course of antibiotics for at least 10 days
User : Are her stomach cramps part of that infection?
Doctor : yes
User : Anything else that I should look out for?
Doctor : she should be getting nebulisation with brochodilators , as well as steam inhalation
Doctor : this will help to soothen the throat and reduce the symptoms of cough
User : Can the steam be in the form of a humidifier?
Doctor : yes
Doctor : that would be fine
User : are the bronchodilators the xophenex and pulmicort, or is there something else?
Doctor : yes they are the bronchodilators and combined with steroids as well to reduce the hyper immune response causing brocho constriction
User : She was taking an oral steroid last week
Doctor : thats fine,
Doctor : now the steroid is in her sprays and inhalers, this is what i meant
User : ok
User : How do I help with the stomach cramps?
Doctor : you can give her some tums or mylanta in syrup form
User : are probiotics safe for her to take? I've heard that they help relieve symptoms of stomach upset. I take them, and I know that there are probiotics for kids.
Doctor : yes
Doctor : they can be given to her
Doctor : they will help her cramps and improve her immunity as well
User : ok, I think you have answered all my questions
User : you put me at ease because I'm a nervous wreck right now
Doctor : you are most welcome
User : Thank you
Doctor : once the infection settles down,,,,
Doctor : she may have persisting cough for a few days
Doctor : this is normal,
Doctor : you should watch for persistant fever, productive cough, with purulent expectoration, irritability, and inability to feed properly, reduced daily activity and playfulness
Doctor : in case such symptoms are present, she may need a examination, to get a Xray, to rule out pneumoniaDoctor : but if proper therapy and antibiotics is given, she will not have any such issues in the future
Doctor : I hope you have followed my comments
User : yes I have
Doctor : do u have any other questions ?
User : no, I don't
User : Thank you
Doctor : ok, thanks for consulting me here
Doctor : have a good day
Doctor : and hope your daughter a speedy recovery
User : thank you
Doctor : take care and bye for now